Post Earthquake Equilibrium Disturbance: A Study After Nepal–India Earthquake 2015

  • Vivek KumarEmail author
  • Kranti Bhavana
Original Article


Nepal and adjoining areas of India suffered a series of massive earthquakes in April–May 2015. This was followed by a remarkable increase in the patient presenting with vague dizziness like features which could not be attributed to any defined variant of vestibular disorder. Extensive search of literature revealed only scarce information about ambiguous post-earthquake vestibular symptoms and their management. We performed a detailed epidemiological analysis of these patients to analyse the presentation, underlying mechanism and optimal management. The results were scrutinised in light of existing international literature. We observed that earthquake precipitated a psychological stress like event that provoked features of disequilibrium and the neuroanatomical basis of the proposition was explored. We renounce the hypothesis of Secondary BPPV precipitated by earthquake leading to symptoms. The results were interpreted from the perspective of Indian scenario and its utility in post-earthquake disaster management in our country has been highlighted.


Earthquake Vertigo Dizziness Equilibrium Psychological stress 


  1. 1.
    Kario K, Mc Ewen BS, Pickering TG (2003) Disasters and the heart: a review of the effects of earthquake induced stress on cardiovascular disease. Hypertens Res 25(5):355–367CrossRefGoogle Scholar
  2. 2.
    Varela E, Koustouki V, Davos CH, Eleni K (2008) Psychological consequences among adults following the 1999 earthquake in Athens, Greece. Disasters 32:280–291CrossRefGoogle Scholar
  3. 3.
    Vehid HE, Alyanak B, Eksi A (2006) Suicide ideation after 1999 earthquake in Marmara, Turkey. Tohuku J Exp Med 208(1):19–24CrossRefGoogle Scholar
  4. 4.
    Furman JM, Jacob RG (2001) A clinical taxonomy of dizziness and anxiety in the otoneurological setting. J Anxiety Disord 15:9–26CrossRefGoogle Scholar
  5. 5.
    Furman JM, Jacob RG (1997) Psychiatric dizziness. Neurology 48:1161–1166CrossRefGoogle Scholar
  6. 6.
    Balaban CD (2002) Neural substrates linking balance control and anxiety. Physiol Behav 77(4–5):469–475CrossRefGoogle Scholar
  7. 7.
    Ehring T, Razik S, Emmelkamp PM (2011) Prevalence and predictors of posttraumatic stress disorder, anxiety, depression, and burnout in Pakistani earthquake recovery workers. Psychiatry Res 185:161–166CrossRefGoogle Scholar
  8. 8.
    Anwar J, Mpofu E, Matthews LR, Shadoul AF, Brock KE (2011) Reproductive health and access to healthcare facilities: risk factors for depression and anxiety in women with an earthquake experience. BMC Public Health 11:523CrossRefGoogle Scholar
  9. 9.
    Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A (1996) Post traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japan. Acta Psychiatr Scand 93:477–481CrossRefGoogle Scholar
  10. 10.
    American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorder, 5th edn. American Psychiatric Association, WashingtonCrossRefGoogle Scholar
  11. 11.
    Simon NM, Pollock MH, Tuby KS et al (1998) Dizziness and panic disorders: a review of the association between vestibular dysfunction and anxiety. Ann Clin Psychiatry 10:75–80CrossRefGoogle Scholar
  12. 12.
    Tevzadze N, Shakarishvili R (2007) Vertigo syndromes associated with earthquake in Georgia. Georgian Med News 148(149):36–39Google Scholar
  13. 13.
    Nomura Y, Toi T (2014) Post-earthquake dizziness syndrome. Equilib Res 73(3):167–173CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of ENTAIIMS, PatnaPatnaIndia
  2. 2.PatnaIndia

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